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Inicio Revista Colombiana de Reumatología Falla cardíaca aguda asociada a bloqueo aurículo ventricular congénito comple...
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Vol. 17. Issue 3.
Pages 178-181 (September 2010)
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Vol. 17. Issue 3.
Pages 178-181 (September 2010)
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Falla cardíaca aguda asociada a bloqueo aurículo ventricular congénito completo secundario a lupus neonatal: reporte de una serie de casos
Acute heart failure associated with congenital complete atrioventricular block due to neonatal lupus: case serie report
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Carlos Jaime Velásquez Franco1,2,
Corresponding author
carjaivel@hotmail.com

Correspondencia: Carlos Jaime Velásquez Franco: Calle 9 sur 32-210 Apartamento 203. Medellín, Colombia. Correo electrónico:.
, Cindy Correa3, Mónica Molina3, Luisa Fernanda Ríos3, Nataly Velásquez3, Luis H. Díaz4, Aura Ligia Zapata-Castellanos1,2,5, Francisco Vargas1,2, Oscar Jaír Felipe-Díaz1,2
1 Unidad de Reumatología y Enfermedades Autoinmunes, Clínica Universitaria Bolivariana. Medellín, Colombia
2 Profesores Facultad de Medicina, Escuela de Ciencias de la Salud, Universidad Pontificia Bolivariana. Medellín, Colombia
3 Estudiantes de Medicina, Escuela de Ciencias de la Salud, Facultad de Medicina, Universidad Pontificia Bolivariana. Medellín, Colombia
4 Servicio de Cardiología Infantil, Clínica Cardiovascular Santa María. Medellín, Colombia
5 Reumatóloga Pediatra, Clínica Universitaria Bolivariana. Medellín, Colombia
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Resumen

El lupus neonatal (LN) comprende un conjunto de síndromes clínicos caracterizados por anticuerpos maternos contra el complejo RNA proteína (Ro/SSA o La/SSB) que atraviesan la placenta y potencialmente llevan a daño tisular fetal. Poco se conoce acerca de otras manifestaciones cardíacas del LN diferentes al bloqueo cardíaco congénito (BCC), como la falla cardíaca (ICC).

Se reportan cuatro casos de LN con BCC e ICC aguda en los primeros tres días de vida en promedio. No se presentaron complicaciones o muertes a los 4,9 meses de seguimiento. Todos los neonatos tenían títulos altos de anti-Ro al momento del diagnóstico.

Palabras clave:
falla cardíaca
lupus
neonatal
bloqueo atrioventricular congénito
Abstract

Neonatal lupus (NL) defines a set of clinical syndromes characterized by maternal autoantibodies against the RNA protein complex (Ro/SSA or La/SSB) that cross the placenta and potentially lead to fetal tissue damage. Little is known about other cardiac manifestations of NL different from congenital heart block (CHB), as heart failure (HF). Four cases of LN with BCC and acute HF at the first three days of life on average were reported. No complications or deaths were reported at 4,9 months of follow-up. All infants had anti-Ro high titles at the time of diagnosis.

Key words:
lupus erythematosus
systemic
heart failure
infant
newborn
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Copyright © 2010. Asociación Colombiana de Reumatología
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